Individual
ELIZABETH BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 NW 138TH TER, SUITE 100, NEWBERRY, FL 32669-2090
(352) 332-2345
(352) 332-2394
Mailing address
215 NW 138TH TER, SUITE 100, NEWBERRY, FL 32669-2090
(352) 332-2345
(352) 332-2394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME75288
FL
208000000X
Pediatrics Physician
Primary
ME75288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256212000
—
FL
Enumeration date
06/19/2006
Last updated
11/19/2012
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